Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 16,357 | PR |
NPI | 1275594715 |
---|---|
Provider Name | Noosha Baqi |
First Address | Luquillo, PR 00773-9744 |
Second Address | Fajardo, PR 00738 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016195 | (05) | NY |
G40106 | (02) | NY |